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Dental Records Release

If you decided to become a patient of our clinic, please fill in this form, sign it and forward it to your previous dentist. This way, they will have the legal ground required for the release of copies of your dental records.

All forms are available in PDF format. To view these files, you need to install Adobe Acrobat Reader to work with your browser. Please note that you need the latest version of Adobe Acrobat Reader to correctly read our forms. If you have problems opening a form, please try to update your version of Acrobat Reader.